Individual provider · Type 1 NPI
Johnny Lee Smith, APN
Family Nurse Practitioner · Jasper, AR
NPI number
1104971373
Active
Practice location
502 West Court
Jasper, AR 72641
Fax (870) 446-2206
Mailing address
PO Box 445
Jasper, AR 72641-0445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | A01227 (AR) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Jasper
About NPI 1104971373
Johnny Lee Smith, APN's National Provider Identifier is 1104971373, issued on Jan 25, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jasper, AR. The record was last updated on Jul 8, 2007.